Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.56 / $1,631.81 / $5,389.00	Facility		$404.56	$1,631.81	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.15 / $414.66 / $2,903.39	Professional		$178.15	$414.66	$2,903.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,616.42 / $3,457.60 / $6,923.84	Facility		$1,616.42	$3,457.60	$6,923.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.34 / $1,040.65 / $2,841.27	Professional		$254.34	$1,040.65	$2,841.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.66 / $494.89 / $3,359.16	Professional		$243.66	$494.89	$3,359.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $285.39 / $1,810.05 / $6,000.47	Professional		$285.39	$1,810.05	$6,000.47
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $233.27 / $262.51 / $1,753.14	Professional		$233.27	$262.51	$1,753.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,982.40	Professional		$32.34	$32.34	$1,982.40
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,956.19 / $3,509.60 / $5,162.82	Professional		$1,956.19	$3,509.60	$5,162.82